Provider Demographics
NPI:1891764312
Name:FAMILY HEALTH CARE PARTNERS, LLC
Entity Type:Organization
Organization Name:FAMILY HEALTH CARE PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-662-3943
Mailing Address - Street 1:400 W BUTLER ST
Mailing Address - Street 2:PO BOX 578
Mailing Address - City:MERCER
Mailing Address - State:PA
Mailing Address - Zip Code:16137-1031
Mailing Address - Country:US
Mailing Address - Phone:724-662-3943
Mailing Address - Fax:724-662-5054
Practice Address - Street 1:400 W BUTLER ST
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-1031
Practice Address - Country:US
Practice Address - Phone:724-662-3943
Practice Address - Fax:724-662-5054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001530870Medicaid
PA001530870Medicaid
PA778022Medicare ID - Type Unspecified